doiSerbia

Cervicomediastinal tuberculous lymphadenitis

Ivanović-Krstić Branislava A. (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)
Kalimanovska-Oštrić Dimitra V. (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)
Vujisić-Tešić Bosiljka D. (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)
Jovanović Dragana (Institut za plućne bolesti i tuberkulozu Kliničkog centra Srbije, Beograd)
Diklić Aleksandar Đ. (Centar za endokrinu hirurgiju Instituta za endokrine bolesti i bolesti metabolizma Kliničkog centra Srbije, Beograd)
Cvetković-Matić Danica (Klinika za kardiologiju Instituta za kardiovaskularne bolesti Kliničkog centra Srbije, Beograd)

Tuberculous lymphadenitis is an uncommon form of extrapulmonary tuberculosis We report on a case of isolated Cervicomediastinal tuberculous lymphadenitis without parenhimal involvement. A 49-year old woman was hospitalized with a four week history of night sweats and weight loss. Plain chest radiography disclosed mediastinal mass of the right side. Echocardiographic examination revealed a soft tissue mass below the ascending aorta and aortic arch causing moderate narrowing of the right ventricular outflow tract and the main pulmonary artery. Computed tomographic scanning showed soft tissue mass in the middle mediastinum surrouding the great vessels extending posteriorly with moderate compression of trachea. Histological examination of the cervical mass revealed caseating granuloma containing acidalcohol fast bacillus. Antituberculous chemiotherapy was started.

Keywords: cervicomediastinal, tuberculous, limphadenitis